Wow, excellent transformation. What an interesting case.

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Blake (Future_HT_Doc)

Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

All opinions are my own and my advice should not constitute as medical advice.

Bump to add high definition video...


Dr. Hasson/Major Repair/3160 Grafts

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I am employed by Hasson & Wong as a patient educator. My opinions are my own and might not be that of Dr. Hasson & Dr. Wong.

Hasson & Wong-The More You Look The Better We Look.

Dr. Hasson and Dr. Wong are members of the Coalition of Independent Hair Restoration Physicians

Jotronic, what were those hair balls caused from? Can any doctor on this forum explain the picture above?!

As always, excellent work from Dr Hasson. The hair balls and the reduced donor density caused by FUE highlight why strip surgery should be first choice for most guys with hairloss.

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On Propecia since July 2008 and maintaining.

Un-freakin-believable on two fronts:

1) How offensive the first procedure was.

2) How positively transforming the second procedure was.

I cannot locate the brow scar at all.

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2008 Dr. G – presumably 1,000 grafts / 2,142 hairs
2009 Dr. Paul Shapiro – 2,348 grafts / 4,258 hairs
2011 Dr. Paul Shapiro – 1,999 grafts / 3,624 hairs

My Hair Transplant Journey with Shapiro Medical Group

I wondering if the 'hair balls' are from follicle transection of FUs that were not extracted for use, but were damaged in situ by the excessively large punch? I've heard stories of follicles transected by forceps in the final extraction of FU (in FUEs) and these hairs growing oddly when transplanted. Either that, or these are follicles trying to grown through mangled scar tissue from, again, too large of a punch. Just my guess though ... Jo will probably know for sure.

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Blake (Future_HT_Doc)

Forum Co-Moderator and Editorial Assistant for the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog, and the Hair Restoration Forum

All opinions are my own and my advice should not constitute as medical advice.

The harvesting in FUE procedures is performed using different techniques depending on the particular surgeon's choice. The cutting through the outer skin surface is almost always performed using a sharp punch. This will perform a cutting type incision down through the epidermis and most of the way through the collagen rich dermis. If the sharp tool is used to go deeper it risks transecting the lower part of the follicle. In order to avoid this problem the surgeon will only "cut" to a certain depth. The rest of the incision will be performed by blunt dissection using a dull punch which will tear the tissue at the lower end of the follicle. This tear will occur along the weakest part of the tissue which is usually between the follicle and surrounding dermis or subcutaneous fat. This theoretically leaves the lower follicle intact.

A second technique is, after the initial punch incision is made, to apply traction to the follicle and using a fine needle or blade to "perforate" the tissue around the follicle eventually allowing the follicle to be torn away from the skin.

In this particular case I believe that the surgeon, after performing the initial cut, used a punch that was so dull that it actually pushed the entire graft through the dermis and into the subcutaneous fat. These viable follicles will continue to produce hair which, as it lengthens, will curl up under the skin forming a "hair ball". Once these hair balls get large enough they will need to be excised individually.

WOW! What a great transformation for this patient! I have to admit that I have seen some repair jobs that were almost as bad as the initial procedure, but Dr. Hasson really turned the results around for this patient and created such natual looking results that this patient must be thrilled! Great job Dr. Hasson, I look forward to seeing more results like this from your clinic in the future.

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Robin

I am employed by Dr. Parsa Mohebi at US Hair Restoration.

Dr. Parsa Mohebi is recommended on the Hair Transplant Network